{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:57:33Z","timestamp":1790539053537,"version":"4.1.0"},"reference-count":12,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 114-2320-B-182A-003-"],"award-info":[{"award-number":["MOST 114-2320-B-182A-003-"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020595","name":"Taiwan Ministry of Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPVVN0171"],"award-info":[{"award-number":["CMRPVVN0171"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CORPVVL0061"],"award-info":[{"award-number":["CORPVVL0061"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CORPVVM0071"],"award-info":[{"award-number":["CORPVVM0071"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPVVN0172"],"award-info":[{"award-number":["CMRPVVN0172"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005795","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.ajem.2026.08.027","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T06:24:38Z","timestamp":1787034278000},"page":"123-128","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Mitigating ED boarding during surge conditions: A multidisciplinary resilience model at a tertiary center epicenter"],"prefix":"10.1016","volume":"110","author":[{"given":"Chen-June","family":"Seak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong Ning Leonard","family":"Goh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-Tsai","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajem.2026.08.027_bb0005","doi-asserted-by":"crossref","first-page":"771","DOI":"10.2147\/RMHP.S272234","article-title":"Impact of the coronavirus disease 2019 pandemic on an emergency department service: experience at the largest tertiary center in Taiwan","volume":"14","author":"Tsai","year":"2021","journal-title":"Risk Manag Healthc Policy"},{"issue":"8","key":"10.1016\/j.ajem.2026.08.027_bb0010","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1097\/CCM.0000000000004385","article-title":"Boarding of critically ill patients in the emergency department","volume":"48","author":"Mohr","year":"2020","journal-title":"Crit Care Med"},{"issue":"9","key":"10.1016\/j.ajem.2026.08.027_bb0015","doi-asserted-by":"crossref","first-page":"492","DOI":"10.5694\/j.1326-5377.2002.tb04917.x","article-title":"The access-block effect: relationship between delay to reaching an inpatient bed and inpatient length of stay","volume":"177","author":"Richardson","year":"2002","journal-title":"Med J Aust"},{"issue":"7","key":"10.1016\/j.ajem.2026.08.027_bb0020","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/j.ajem.2018.03.043","article-title":"Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service","volume":"36","author":"Lord","year":"2018","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.ajem.2026.08.027_bb0025","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.ajem.2023.01.049","article-title":"The impact of COVID-19 on emergency department boarding and in-hospital mortality","volume":"67","author":"Griffin","year":"2023","journal-title":"Am J Emerg Med"},{"issue":"4","key":"10.1016\/j.ajem.2026.08.027_bb0030","first-page":"388","article-title":"Rapid responses in the emergency department of Linkou Chang Gung Memorial Hospital, Taiwan effectively prevent spread of COVID-19 among healthcare workers of emergency department during outbreak: lessons learnt from SARS","volume":"43","author":"Seak","year":"2020","journal-title":"Biom J"},{"issue":"8","key":"10.1016\/j.ajem.2026.08.027_bb0035","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0203316","article-title":"Emergency department crowding: a systematic review of causes, consequences and solutions","volume":"13","author":"Morley","year":"2018","journal-title":"PloS One"},{"issue":"2","key":"10.1016\/j.ajem.2026.08.027_bb0040","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1067\/mem.2003.302","article-title":"A conceptual model of emergency department crowding","volume":"42","author":"Asplin","year":"2003","journal-title":"Ann Emerg Med"},{"issue":"12","key":"10.1016\/j.ajem.2026.08.027_bb0045","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1086\/420939","article-title":"Practice guidelines for outpatient parenteral antimicrobial therapy","volume":"38","author":"Tice","year":"2004","journal-title":"Clin Infect Dis"},{"issue":"2","key":"10.1016\/j.ajem.2026.08.027_bb0050","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/1357633X20969529","article-title":"Impact of a large-scale telemedicine network on emergency visits and hospital admissions during the coronavirus disease 2019 pandemic in Brazil: data from the UNIMED-BH system","volume":"29","author":"Nascimento","year":"2023","journal-title":"J Telemed Telecare"},{"issue":"9","key":"10.1016\/j.ajem.2026.08.027_bb0055","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.3390\/healthcare10091625","article-title":"Overcrowding in emergency department: causes, consequences, and solutions-a narrative review","volume":"10","author":"Sartini","year":"2022","journal-title":"Healthcare (Basel)"},{"issue":"2","key":"10.1016\/j.ajem.2026.08.027_bb0060","first-page":"70","article-title":"Assessing the utilization and impact of a newly established outpatient parenteral antimicrobial therapy (OPAT) program","volume":"5","author":"Yan","year":"2020","journal-title":"J Assoc Med Microbiol Infect Dis Can"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675726004237?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675726004237?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T19:36:51Z","timestamp":1790537811000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675726004237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":12,"alternative-id":["S0735675726004237"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2026.08.027","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mitigating ED boarding during surge conditions: A multidisciplinary resilience model at a tertiary center epicenter","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2026.08.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}